EXTRAVAGANT HAIR STUDIO (NPI# 1407303605) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407303605 |
| Entity Type | Organization |
| Organization Name | EXTRAVAGANT HAIR STUDIO |
| Practice Address |
12810 Mills Breeze Dr Houston TX 77070-1381 |
| Practice Telephone | 2163239969 |
| Mailing Telephone | 2163239969 |
| Enumeration Date | 2016-09-06 |
| Last Update Date | 2016-09-06 |
| Authorized Official Name | MS. BENNETTA JOYCE REYNOLDS (HAIR PROSTHESIS SPECIALIST) |
| Authorized Official Telephone | 2163239969 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | 1420593 | TX | Suppliers |
| Street Address |
12810 MILLS BREEZE DR |
| City | HOUSTON |
| State | TX |
| Zip Code | 77070-1381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356962666 | Polyanna De La Garza Optometrist Pllc | Optometrist | 22438 Tomball Parkway, Houston, TX 77070 | 2020-04-28 |
| 1871113837 | Carolyn Hong Nguyen | Radiology | 18220 Tx 249, Houston, TX 77070 | 2020-04-20 |
| 1942831268 | Rea May Roque Danao | Registered Nurse | 18220 Tx-249, Houston, TX 77070 | 2020-01-27 |
| 1124669866 | Endocrine Diabetes and Thyroid Specialists of Houston Pllc | Internal Medicine | 18220 Texas 249 Access Rd, Houston, TX 77070 | 2019-10-03 |
| 1851944300 | Oculus Cypresswood, LLC | Optometrist | Hwy 249 & Cypresswood, Houston, TX 77070 | 2019-07-23 |
| 1740832310 | Oculus Cypresswood, LLC | Optometrist | Highway 249 & Cypresswood, Houston, TX 77070 | 2019-07-12 |
| 1750846176 | Karen Fletcher | Occupational Therapy Assistant | Silverado Vintage Preserve, 10120 Louette Rd, Houston, TX 77070 | 2019-02-11 |
| 1154803518 | Geraldine Santillan Villanueva | Physical Therapist | 13220 Breton Ridge St., Houston, TX 77070 | 2018-09-02 |
| 1467945865 | Pure G Kids, LLC | Clinic/Center | 21175 Tomball Pkwy Ste 379, Houston, TX 77070 | 2018-06-11 |
| 1063902518 | Stephanie Leona Bloodworth | Marriage & Family Therapist | 9950 Cypresswood Dr Ste 214, Houston, TX 77070 | 2018-05-10 |
| Find all providers in zip 77070 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750917423 | Leggett Prosthetics LLC | Prosthetic/Orthotic Supplier | 1019 Homer St, Houston, TX 77091 | 2020-03-13 |
| 1396301644 | Freedom Prosthetics and Orthotics, Inc. | Prosthetic/Orthotic Supplier | 17115 Red Oak Dr Ste 114, Houston, TX 77090-2607 | 2019-05-13 |
| 1043747231 | Hands of Transformation Hair Loss Clinic | Prosthetic/Orthotic Supplier | 11980 Westheimer Rd Ste G, Houston, TX 77077-6670 | 2017-05-18 |
| 1346604527 | Bmp Bracing LLC | Prosthetic/Orthotic Supplier | 3615 Willowbend Blvd Ste 428, Houston, TX 77054-1110 | 2016-04-13 |
| 1427416544 | Inmotion Prosthetics Houston LLC | Prosthetic/Orthotic Supplier | 7324 Southwest Fwy Ste 2-885, Houston, TX 77074-2012 | 2016-02-03 |
| 1639597792 | Cranial Technologies Inc. | Prosthetic/Orthotic Supplier | 929 Gessner Rd Ste 2205, Houston, TX 77024-2664 | 2014-04-04 |
| 1558798512 | Tiffani Chanels Beauty Supply, LLC | Prosthetic/Orthotic Supplier | 2578 S Loop W, Houston, TX 77054-2634 | 2013-10-03 |
| 1538430251 | F D Prasek Corporation | Prosthetic/Orthotic Supplier | 6420 Richmond Ave Ste 107, Houston, TX 77057-5923 | 2012-01-26 |
| 1649562539 | Advanced Orthotics & Prosthetics LLC | Prosthetic/Orthotic Supplier | 11011 S Wilcrest Dr Ste D, Houston, TX 77099-4346 | 2011-05-10 |
| 1033439369 | Lfu Cranial Prosthesis | Prosthetic/Orthotic Supplier | 11790 S Wilcrest Dr, Houston, TX 77099-4757 | 2010-06-09 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.